Spondyloarthritis & psoriatic arthritis

Anti-Integrin αvβ6 Autoantibodies as a Biomarker for Ulcerative Colitis in Patients With Axial Spondyloarthritis

J RheumatolPublished Diagnostic accuracy study

Authors' conclusion

Anti-αvβ6 positivity demonstrated potential as a diagnostic test for UC in patients with axSpA, particularly those with a family history of IBD.

Study context

Population
Patients with axial spondyloarthritis (axSpA) with or without concurrent inflammatory bowel disease (IBD), and healthy controls
Participants
18 / 29 / 48 / 48
Comparison
Anti-αvβ6 in axSpA with ulcerative colitis (UC) vs axSpA with Crohn disease (CD) vs axSpA alone vs healthy controls
  • axSpA and UCn = 18
  • axSpA and CDn = 29
  • axSpA alonen = 48reference
  • Healthy controls (HCs)n = 48
Outcome
Anti-αvβ6 for the diagnosis of UC among patients with axSpA
Methodological detailsELISA, serial samples
  • ELISA
  • Serial samples

Performance

As reported in the abstract

Anti-αvβ6 for diagnosis of UC in axSpA
Test or modelSensitivitySpecificityAUC
Anti-αvβ655.6%89.6%0.83

Anti-αvβ6

Sensitivity55.6%
Specificity89.6%
AUC0.83

Further findings

Anti-αvβ6 positivity and family history of IBD (axSpA and UC)

Anti-αvβ6 positivity was associated with a family history of IBD in patients with axSpA and UC

Serial samples: anti-αvβ6 status transitions

Anti-αvβ6-positive patients who became anti-αvβ6-negative
3 of 10
Anti-αvβ6-negative to anti-αvβ6-positive transitions were not observed

CRP and Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) by anti-αvβ6 status

Anti-αvβ6-positive patients had decreased mean CRP and BASDAI scores vs anti-αvβ6-negative patients

Original publication

Anti-Integrin αvβ6 Autoantibodies as a Biomarker for Ulcerative Colitis in Patients With Axial Spondyloarthritis. J Rheumatol. Published 15 September 2025. doi:10.3899/jrheum.2024-1296

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